Authentic Vibrancy Company PLLC
NPI 1245116680 · Mental Health Counselor · Mount Vernon, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Authentic Vibrancy Company PLLC is a Mental Health Counselor organization in Mount Vernon, WA (NPI 1245116680).
Provider details
- NPI number
- 1245116680
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tracy Wiesneske, Owner(360) 420-5930
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-12
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Frequently asked questions
- What is Authentic Vibrancy Company PLLC's NPI number?
- Authentic Vibrancy Company PLLC's National Provider Identifier (NPI) is 1245116680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Authentic Vibrancy Company PLLC?
- Authentic Vibrancy Company PLLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Authentic Vibrancy Company PLLC located?
- Authentic Vibrancy Company PLLC's practice location on file with NPPES is 325 Pine St Ste B, Mount Vernon, WA 98273-5929.
- What is Authentic Vibrancy Company PLLC's phone number?
- The practice phone number listed in the NPPES registry for Authentic Vibrancy Company PLLC is (360) 420-5930.
- Does Authentic Vibrancy Company PLLC accept Medicare?
- Authentic Vibrancy Company PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Authentic Vibrancy Company PLLC?
- The authorized official listed on Authentic Vibrancy Company PLLC's NPPES record is Tracy Wiesneske, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Authentic Vibrancy Company PLLC's NPI active?
- Yes — Authentic Vibrancy Company PLLC's NPI (1245116680) is active in the NPPES registry as of the last update on 2025-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.